Who receives health advice? Prevalence and correlates of receiving health advice among adults in Cape Verde

Abstract Background Achieving the sustainable development goal target 3.4 requires an all-hand-on-deck approach. Healthcare professionals are expected to provide health advice on lifestyle changes that will reduce the risk of developing non-communicable diseases, or improve the quality of life of th...

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Main Authors: Joshua Okyere, Castro Ayebeng, Kwamena Sekyi Dickson
Format: Article
Language:English
Published: BMC 2025-06-01
Series:Journal of Health, Population and Nutrition
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Online Access:https://doi.org/10.1186/s41043-025-00923-1
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author Joshua Okyere
Castro Ayebeng
Kwamena Sekyi Dickson
author_facet Joshua Okyere
Castro Ayebeng
Kwamena Sekyi Dickson
author_sort Joshua Okyere
collection DOAJ
description Abstract Background Achieving the sustainable development goal target 3.4 requires an all-hand-on-deck approach. Healthcare professionals are expected to provide health advice on lifestyle changes that will reduce the risk of developing non-communicable diseases, or improve the quality of life of those who already have the condition. The study examined the prevalence and correlates of receiving health advice among adults in Cape Verde. Methods We analyzed the data 1,098 adults aged 18–69 years who participated in the 2020 WHO STEPS survey. All estimates were weighted. Bivariable and multivariable logistic regression were performed to assess correlates of receiving at least one health advice. Statistical significance was set at p < 0.05, with 95% confidence intervals reported. Results Overall, 60.4% (95%CI: 55.3, 62.3) of adults in Cape Verde had received at least one health advice. Compared to younger adults (< 30 years), individuals aged 30–59 years having 1.55 times higher odds (AOR = 1.55, 95%CI: 1.11–2.15) and those aged 60 years and older having nearly three times the odds (AOR = 2.93, 95%CI: 1.71–5.02) of receiving advice. Previously married (AOR = 1.69, 95%CI: 1.09–2.61) and cohabiting individuals had higher odds (AOR = 1.56, 95%CI: 1.12–2.18) of receiving advice compared to those who were never married. Alcohol consumption was inversely associated with receiving advice, as drinkers had 40% lower odds of receiving advice compared to non-drinkers (AOR = 0.60, 95%CI: 0.45–0.81). Individuals consuming fewer than four servings of fruit per day had significantly lower odds of receiving advice (AOR = 0.58, 95%CI: 0.37–0.90), while those consuming fewer than four servings of vegetables per day had 1.41 times higher odds (AOR = 1.41, 95%CI: 1.06–1.88). The likelihood of receiving health advice was high among those living with hypertension (AOR = 1.94, 95%CI: 1.41–2.65). Conclusion Evidence from this study suggests that there is a moderately high prevalence of receiving health advice in Cape Verde. The key correlates are hypertension status, increasing age, marital status, alcohol consumption and dietary habits. The findings underscore the need for targeted health education and counseling strategies that address the unique needs of different population subgroups, particularly younger adults, non-drinkers, and those with suboptimal dietary habits, to ensure equitable access to health advice.
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spelling doaj-art-6aa84849f6bc49e0b528e5e303ffdbe02025-08-20T03:22:50ZengBMCJournal of Health, Population and Nutrition2072-13152025-06-014411910.1186/s41043-025-00923-1Who receives health advice? Prevalence and correlates of receiving health advice among adults in Cape VerdeJoshua Okyere0Castro Ayebeng1Kwamena Sekyi Dickson2School of Human and Health Sciences, University of HuddersfieldDepartment of Population and Health, University of Cape CoastSchool of Human and Health Sciences, University of HuddersfieldAbstract Background Achieving the sustainable development goal target 3.4 requires an all-hand-on-deck approach. Healthcare professionals are expected to provide health advice on lifestyle changes that will reduce the risk of developing non-communicable diseases, or improve the quality of life of those who already have the condition. The study examined the prevalence and correlates of receiving health advice among adults in Cape Verde. Methods We analyzed the data 1,098 adults aged 18–69 years who participated in the 2020 WHO STEPS survey. All estimates were weighted. Bivariable and multivariable logistic regression were performed to assess correlates of receiving at least one health advice. Statistical significance was set at p < 0.05, with 95% confidence intervals reported. Results Overall, 60.4% (95%CI: 55.3, 62.3) of adults in Cape Verde had received at least one health advice. Compared to younger adults (< 30 years), individuals aged 30–59 years having 1.55 times higher odds (AOR = 1.55, 95%CI: 1.11–2.15) and those aged 60 years and older having nearly three times the odds (AOR = 2.93, 95%CI: 1.71–5.02) of receiving advice. Previously married (AOR = 1.69, 95%CI: 1.09–2.61) and cohabiting individuals had higher odds (AOR = 1.56, 95%CI: 1.12–2.18) of receiving advice compared to those who were never married. Alcohol consumption was inversely associated with receiving advice, as drinkers had 40% lower odds of receiving advice compared to non-drinkers (AOR = 0.60, 95%CI: 0.45–0.81). Individuals consuming fewer than four servings of fruit per day had significantly lower odds of receiving advice (AOR = 0.58, 95%CI: 0.37–0.90), while those consuming fewer than four servings of vegetables per day had 1.41 times higher odds (AOR = 1.41, 95%CI: 1.06–1.88). The likelihood of receiving health advice was high among those living with hypertension (AOR = 1.94, 95%CI: 1.41–2.65). Conclusion Evidence from this study suggests that there is a moderately high prevalence of receiving health advice in Cape Verde. The key correlates are hypertension status, increasing age, marital status, alcohol consumption and dietary habits. The findings underscore the need for targeted health education and counseling strategies that address the unique needs of different population subgroups, particularly younger adults, non-drinkers, and those with suboptimal dietary habits, to ensure equitable access to health advice.https://doi.org/10.1186/s41043-025-00923-1Health behaviorHealth educationHealth promotionPublic healthNon-communicable diseases
spellingShingle Joshua Okyere
Castro Ayebeng
Kwamena Sekyi Dickson
Who receives health advice? Prevalence and correlates of receiving health advice among adults in Cape Verde
Journal of Health, Population and Nutrition
Health behavior
Health education
Health promotion
Public health
Non-communicable diseases
title Who receives health advice? Prevalence and correlates of receiving health advice among adults in Cape Verde
title_full Who receives health advice? Prevalence and correlates of receiving health advice among adults in Cape Verde
title_fullStr Who receives health advice? Prevalence and correlates of receiving health advice among adults in Cape Verde
title_full_unstemmed Who receives health advice? Prevalence and correlates of receiving health advice among adults in Cape Verde
title_short Who receives health advice? Prevalence and correlates of receiving health advice among adults in Cape Verde
title_sort who receives health advice prevalence and correlates of receiving health advice among adults in cape verde
topic Health behavior
Health education
Health promotion
Public health
Non-communicable diseases
url https://doi.org/10.1186/s41043-025-00923-1
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AT kwamenasekyidickson whoreceiveshealthadviceprevalenceandcorrelatesofreceivinghealthadviceamongadultsincapeverde